Nichtoperative Beherrschung einer RIVA-Perforation im Gefolge kardiopulmonaler Reanimationsmaßnahmen

Wiemer, Marcus; Horstkotte, Dieter; Schultheiss, H.‐P.

doi:10.1007/s003920050344

Cited by 10 publications

(5 citation statements)

References 27 publications

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“…Major vascular complications (Table 2) including aneurysm, pseudoaneurysm, dissection, laceration or rupture to the coronary vasculature, 37–42 coronary bypass grafts, 43 aorta, 8, 10, 11, 17, 32, 44–47 subclavian artery and vein, and the vena cava 6 may also occur following both manual and ACD-CPR (Figure 2). Notably, among patients that fail to recover from cardiac arrest after CPR, fractures of the coronary arteries, often at multiple sites have been described.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

et al. 2014

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OBJECTIVE The incidence of thoracic injuries resulting from cardiopulmonary resuscitation (CPR) is not well characterized. We describe a case in which a CPR-associated atrial rupture was identified with ultrasound and successfully managed in the intensive care unit with a bedside thoracotomy and atrial repair. We then describe a systematic review with pooled data analysis of CPR-associated cardiovascular, pulmonary, pleural, and thoracic wall injuries. DATA SOURCES PubMed, Scopus, EMBASE, and Web of Science were searched to identify relevant published studies. Unpublished studies were identified by searching the Australian and New Zealand Clinical Trials Registry, World Health Organization International Clinical Trials Registry Platform, Cochrane Library, ClinicalTrials.gov, Current Controlled Trials, and Google. STUDY SELECTION Inclusion criteria for the pooled analysis were any clinical or autopsy study in which a) patients underwent cardiopulmonary resuscitation, b) chest compressions were administered either manually or with the assistance of active compression-decompression devices, and c) autopsy or dedicated imaging assessments were conducted to identify complications. Exclusion criteria for the pooled analysis were pre-clinical studies, case reports and abstracts. DATA EXTRACTION Nine-hundred twenty-eight potentially relevant references were identified. Twenty-seven references met inclusion criteria. DATA SYNTHESIS A systematic review of the literature is provided with pooled data analysis. CONCLUSIONS The incidence of reported CPR-associated cardiovascular and thoracic wall injuries varies widely. CPR with active compression-decompression devices has a higher reported incidence of cardiopulmonary injuries. Bedside ultrasound may be a useful adjunct to assess and risk-stratify patients to identify serious or life-threatening CPR-associated injuries.

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Section: Resultsmentioning

confidence: 99%

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

et al. 2014

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“…Treating SCAR involves factors like bleeding site, severity, patient age and condition, and medical response plan. If angiography pinpoints rupture, stent implantation or coil embolization can manage bleeding[ 1 , 3 , 17 , 29 ]. However, as most SCAR patients have tamponade and shock, angiography might not work.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous coronary artery rupture after lung cancer surgery: A case report and review of literature

Ruan,

Han

2024

World J Cardiol

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BACKGROUND Spontaneous coronary artery rupture (SCAR) is a rare and life-threatening complication after lung cancer surgery. We present a case of SCAR following left upper lobectomy, successfully managed through emergency thoracotomy and coronary artery ligation. CASE SUMMARY A 61-year-old male patient underwent left upper lobectomy and mediastinal lymph node dissection for lung cancer. The surgery was performed using single-port video-assisted thoracoscopic surgery, and there were no observed complications during the procedure. However, 19 h after surgery, the patient experienced chest discomfort and subsequently developed severe symptoms, including nausea, vomiting, and a drop in blood pressure. Urgent measures were taken, leading to the diagnosis of SCAR. The patient underwent emergency thoracotomy and coronary artery ligation, successfully stopping the bleeding and stabilizing the condition. Despite postoperative complications, the patient made a successful recovery and was discharged from the hospital. CONCLUSION SCAR is a rare but life-threatening complication following lung cancer surgery. Immediate thoracotomy has been shown to be a life-saving measure, while stenting is not the preferred initial approach.

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“…Treating SCAR involves factors like bleeding site, severity, patient age and condition, and medical response plan. If angiography pinpoints rupture, stent implantation or coil embolization can manage bleeding [1,3,17,29] . But as most SCAR patients have tamponade and shock, angiography might not work.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Coronary Artery Rupture after Lung Cancer Surgery: A Case Report and Literature Review

Ruan,

Han

2023

Preprint

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Spontaneous Coronary Artery Rupture (SCAR) is an exceedingly rare and life-threatening complication following lung cancer surgery. We put forward a case of left anterior descending branch (LAD) coronary artery rupture that occurred 19 hours after the left upper lobectomy. The medical team saved the patient's life through an emergency thoracotomy and coronary artery ligation. Furthermore, a comprehensive literature review on the topic is available.

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Nichtoperative Beherrschung einer RIVA-Perforation im Gefolge kardiopulmonaler Reanimationsmaßnahmen

Abstract: Coronary perforations following blunt chest trauma is a rare complication, which has been described only once following CPR (2). Stent grafts can be used safely for acute closure of such perforations.

Cited by 10 publications

References 27 publications

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries

Spontaneous coronary artery rupture after lung cancer surgery: A case report and review of literature

Spontaneous Coronary Artery Rupture after Lung Cancer Surgery: A Case Report and Literature Review

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